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初乳中内分泌干扰酚与母婴健康的关系。

Association between Endocrine Disrupting Phenols in Colostrums and Maternal and Infant Health.

机构信息

Research Center for Cell Fate Control, Sookmyung Women's University College of Pharmacy, Seoul 140-742, Republic of Korea.

出版信息

Int J Endocrinol. 2013;2013:282381. doi: 10.1155/2013/282381. Epub 2013 May 8.

Abstract

Bisphenol A (BPA) and alkylphenols (APs) are well-known endocrine disrupting chemicals (EDCs) which may threat the next generations' health. We performed biomonitoring of these phenols in colostrums to assess risk of the phenols in breast-fed neonates. Study subjects were the lactating mothers who delivered babies within 2 weeks (N = 325; 30.67 ± 3.45 years) and their neonates (N = 326; embryonic period, 39.1 ± 1.5 weeks). BPA, nonylphenol (NP), and octylphenol (OP) in colostrums were quantified with LC/MS/MS. Information for environmental exposure sources of the phenols was obtained by questionnaires. As results, median level of BPA in colostrums was 7.8 ng/mL, while most NP or OP was not detected. Regarding health risks of phenols, levels of total NP in colostrums were elevated among sick mothers with toxemia, thyroid disorders, gastritis, and so forth than health mothers (3.51 ± 4.98 versus 2.04 ± 3.71 ng/mL, P = 0.02). Dairy products intake and detergents use were positively correlated with total BPA levels (Ps < 0.05). In conclusion, we estimate most neonates who are exposed to BPA rather than NP or OP via colostrums and recommend continuous biomonitoring of the phenols to clarify their suspected health risk on neonates and pregnant or gestation mothers.

摘要

双酚 A(BPA)和烷基酚(APs)是众所周知的内分泌干扰化学物质(EDCs),它们可能会威胁下一代的健康。我们对初乳中的这些酚类物质进行了生物监测,以评估母乳喂养的新生儿接触酚类物质的风险。研究对象为分娩后两周内的哺乳期母亲(N=325;30.67±3.45 岁)及其新生儿(N=326;胚胎期 39.1±1.5 周)。采用 LC/MS/MS 定量检测初乳中的 BPA、壬基酚(NP)和辛基酚(OP)。通过问卷调查获得酚类物质环境暴露源的信息。结果显示,初乳中 BPA 的中位数水平为 7.8ng/mL,而大多数 NP 或 OP 未被检出。关于酚类物质的健康风险,与健康母亲相比,患有子痫前期、甲状腺疾病、胃炎等疾病的母亲的初乳中总 NP 水平升高(3.51±4.98 与 2.04±3.71ng/mL,P=0.02)。乳制品摄入和洗涤剂使用与总 BPA 水平呈正相关(P<0.05)。总之,我们估计大多数通过初乳接触 BPA 而不是 NP 或 OP 的新生儿,并建议对这些酚类物质进行持续的生物监测,以明确其对新生儿和孕妇或妊娠母亲的可疑健康风险。

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